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Gynecologic Health — Sexual Dysfunction

Sexual dysfunction is very common, with concerns arising in 40% of women and 12% with significant functional problems. They affect each stage of sexual response (desire, arousal, and orgasm) and each stage of life (reproductive years, postpartum, and after menopause). Often, issues are found to have multiple contributing factors instead of a single cause.

Situations contributing to sexual problems include:

Stress or conflict in the relationship

Current or history of abuse

Chronic pelvic or vaginal pain

Changes in self-esteem

Impaired pelvic support

Medical conditions such as diabetes, arthritis, cancer

Emotional conditions such as depression

Medications such as SSRI antidepressants or beta-blockers

Breast surgery or hysterectomy

Hormonal changes after menopause

Just as multiple factors can contribute to sexual dysfunction, treatment is often approached from a variety of sources including medications. Further care may include evaluation and treatment by professionals such as physical therapists, sex therapists, psychotherapists, and marriage/family counselors.